The Senior Benefit Advocate ensures client benefit intent is accurately translated from sold plan documents into Crystal-generated Plan Information Forms (PIFs) and downstream Diamond configuration. This senior individual contributor role combines benefit expertise, quality assurance, consultation, and independent problem-solving across new business, renewals, upsells, and midyear plan changes.
Position SummaryThe Senior Benefit Advocate performs complex benefit configuration and quality assurance work supporting Cigna Global Health Benefits. This role reviews client plan information, validates benefit accuracy, and ensures PIFs produced through the Salesforce Benefit Configuration Tool, Crystal, are complete and ready for downstream implementation in Diamond.
The Senior Benefit Advocate serves as a benefits subject-matter resource and partners with Sales, Client Management, Underwriting, Contracts, Benefits, and Operations to resolve issues and support an accurate client and customer experience.
Key Responsibilities- Review sold plan documents, PIFs, and supporting materials to confirm client intent, product standards, and requirements before implementation.
- Use Crystal to review, enter, and update benefit information for new business, renewals, upsells, maintenance requests, and off-cycle changes.
- Apply Diamond knowledge to understand benefit configuration at the MEDDEF level, anticipate downstream impacts, and identify discrepancies before claims or member materials are affected.
- Participate in installation and expert team meetings, explain benefit findings, and provide recommendations to commercial and operational partners.
- Validate that PIF information aligns with sold plan documents and supports accurate downstream configuration, contracts, certificates, and claim payment.
- Research complex benefit questions, resolve quality issues, and coordinate corrections with client-facing and benefits teams.
- Advise Sales and Client Management on nonstandard benefit options and appropriate Crystal configuration.
- Complete quality reviews within established deadlines while managing multiple priorities and time-sensitive implementations.
- Support user acceptance testing, process improvements, and enhancements related to Crystal, Diamond workflows, and team procedures.
- Work independently through complex situations, using sound judgment and escalating questions when appropriate.
Required Qualifications- High school diploma or equivalent.
- 5 or more years of experience in healthcare, benefits, benefit configuration, claims, implementation, or a related field.
- Experience with Cigna Global Health Benefits or a closely related benefits operation.
- Strong working knowledge of Diamond, including the ability to interpret benefit configuration and downstream impacts at the MEDDEF level.
- Knowledge of medical, dental, vision, IEAP, life, accidental death and dismemberment, supplemental, dependent, and other ancillary benefits.
- Strong analytical, critical-thinking, quality assurance, and problem-solving skills with excellent attention to detail.
- Ability to navigate ambiguity, make informed decisions, and work independently with moderate supervision.
- Strong written and verbal communication skills and the ability to work effectively with Sales, Client Management, and other business partners.
- Ability to manage competing priorities and meet deadlines in a fast-paced environment.
- Basic Microsoft Excel skills and proficiency in a Windows-based environment.
Preferred Qualifications- Experience with Salesforce and Crystal. Direct Crystal experience is preferred; training may be provided to candidates with relevant Salesforce experience and strong benefits knowledge.
- Experience reviewing client plan documents, PIFs, certificates, or other benefit implementation materials.
- Experience supporting new business installations, renewals, plan changes, or benefit maintenance and quality assurance.
- Some college coursework.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 68,700 - 114,500 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
